SHANNON LEIGH CLIBURN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049133775

License Status

NOT RENEWED

Business

First Name

SHANNON

Middle

LEIGH

Last Name

CLIBURN

Business Name

SHANNON LEIGH CLIBURN

Original Issue Date

11/29/2000

Effective Date

02/26/2009

Expiration Date

03/31/2010

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

05/04/2010